“My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain
Background: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in ind...
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Format: | Article |
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MDPI AG
2022-09-01
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Series: | Brain Sciences |
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Online Access: | https://www.mdpi.com/2076-3425/12/10/1331 |
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author | Brendon S. Haslam David S. Butler G. Lorimer Moseley Anthony S. Kim Leeanne M. Carey |
author_facet | Brendon S. Haslam David S. Butler G. Lorimer Moseley Anthony S. Kim Leeanne M. Carey |
author_sort | Brendon S. Haslam |
collection | DOAJ |
description | Background: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in individuals with stroke, aiming to determine if a perceived change in hand size contralateral to the stroke lesion is more common in those with chronic pain than in those without. Methods: Stroke survivors (N = 523) completed an online survey that included: stroke details, pain features, and any difference in perceived hand size post-stroke. Results: Individuals with stroke who experienced chronic pain were almost three times as likely as those without chronic pain to perceive their hand as now being a different size (OR = 2.895; 95%CI 1.844, 4.547). Further, those with chronic pain whose pain included the hand were almost twice as likely to perceive altered hand size than those whose pain did not include the hand (OR = 1.862; 95%CI 1.170, 2.962). This was not influenced by hemisphere of lesion (<i>p</i> = 0.190). Conclusions: The results point to a new characteristic of chronic pain in stroke, raising the possibility of body perception disturbance being a rehabilitation target to improve function and pain-related outcomes for stroke survivors. |
first_indexed | 2024-03-09T20:34:50Z |
format | Article |
id | doaj.art-4427e2919e634a39a616b16198efc976 |
institution | Directory Open Access Journal |
issn | 2076-3425 |
language | English |
last_indexed | 2024-03-09T20:34:50Z |
publishDate | 2022-09-01 |
publisher | MDPI AG |
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series | Brain Sciences |
spelling | doaj.art-4427e2919e634a39a616b16198efc9762023-11-23T23:13:43ZengMDPI AGBrain Sciences2076-34252022-09-011210133110.3390/brainsci12101331“My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic PainBrendon S. Haslam0David S. Butler1G. Lorimer Moseley2Anthony S. Kim3Leeanne M. Carey4Neurorehabilitation and Recovery, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne 3010, AustraliaIMPACT in Health, University of South Australia, Kaurna Country, Adelaide 5001, AustraliaIMPACT in Health, University of South Australia, Kaurna Country, Adelaide 5001, AustraliaWeil Institute of Neurosciences, Department of Neurology, University of California, San Francisco, CA 94143, USANeurorehabilitation and Recovery, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne 3010, AustraliaBackground: Chronic pain and body perception disturbance are common following stroke. It is possible that an interaction exists between pain and body perception disturbance, and that a change in one may influence the other. We therefore investigated the presence of body perception disturbance in individuals with stroke, aiming to determine if a perceived change in hand size contralateral to the stroke lesion is more common in those with chronic pain than in those without. Methods: Stroke survivors (N = 523) completed an online survey that included: stroke details, pain features, and any difference in perceived hand size post-stroke. Results: Individuals with stroke who experienced chronic pain were almost three times as likely as those without chronic pain to perceive their hand as now being a different size (OR = 2.895; 95%CI 1.844, 4.547). Further, those with chronic pain whose pain included the hand were almost twice as likely to perceive altered hand size than those whose pain did not include the hand (OR = 1.862; 95%CI 1.170, 2.962). This was not influenced by hemisphere of lesion (<i>p</i> = 0.190). Conclusions: The results point to a new characteristic of chronic pain in stroke, raising the possibility of body perception disturbance being a rehabilitation target to improve function and pain-related outcomes for stroke survivors.https://www.mdpi.com/2076-3425/12/10/1331painstrokechronic painbody perception disturbancebody image |
spellingShingle | Brendon S. Haslam David S. Butler G. Lorimer Moseley Anthony S. Kim Leeanne M. Carey “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain Brain Sciences pain stroke chronic pain body perception disturbance body image |
title | “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain |
title_full | “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain |
title_fullStr | “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain |
title_full_unstemmed | “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain |
title_short | “My Hand Is Different”: Altered Body Perception in Stroke Survivors with Chronic Pain |
title_sort | my hand is different altered body perception in stroke survivors with chronic pain |
topic | pain stroke chronic pain body perception disturbance body image |
url | https://www.mdpi.com/2076-3425/12/10/1331 |
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